ENPC Exam Questions
1. A preschooler has a small laceration that required 2 stitches. The nurse covers the wound with a bandage knowing that it will comfort the child to have it covered. What is the developmental reason for this intervention?
a. Preschoolers are magical thinkers and imagine bandages keep their insides from coming out
b. Preschoolers fear physical disability and believe a bandage will prevent disability
c. Preschoolers explore orally and will likely chew or suck on the stitches if left uncovered
d. Preschoolers are concerned with body image and don’t want to appear different than peers
2. A 7-month-old presents to the emergency department with a complaint of fever. Assessment reveals a patent airway and slight cyanosis around his lips and nail beds. He is alert and interactive. His vital signs are 38.5° C (101.3° F), HR 134, RR 32, BP 78/54 mm Hg, and SpO2 84%. The nurse notes a healed surgical scar on his chest. Based on this assessment, what is the nurse’s priority?
a. Administer ibuprofen to treat the fever
b. Begin oxygen via a nonrebreather mask
c. Obtain a surgical history
d. Ask if the SpO2 is normal for him
3. An 11-year-old presents to the emergency department with a complaint of hitting his head while playing soccer. The nurse enters the room and performs an across-the-room assessment. He is staring at the wall. He has no increased work of breathing, and his color is pink. Using the pediatric assessment triangle (PAT), what classification will the nurse assign?
a. Well
b. Sick
c. Sicker
d. Sickest
